Frequency and Clinical Characteristics of Tympanic Membrane Perforation Outpatients at Dr. Hasan Sadikin General Hospital in 2011–2013

Veronika Ratih M.; Sally Mahdiani; Fenny Dwiyatnaningrum

Frequency and Clinical Characteristics of Tympanic Membrane Perforation Outpatients at Dr. Hasan Sadikin General Hospital in 2011–2013

Veronika Ratih M., Sally Mahdiani, Fenny Dwiyatnaningrum

Abstract

Background: Tympanic membrane perforation is a hearing problem that has become a health problem in the society. In Indonesia, there are only a few studies regarding tympanic membrane perforation. This study was aimed to observe the frequency and clinical characteristics of tympanic membrane perforation patients.

Methods: This was a descriptive study performed from August to September 2014. The data was taken retrospectively from medical records of tympanic membrane perforation patients at Dr. Hasan Sadikin General Hospital from January 2011 to December 2013.

Results: Of 579 tympanic perforation patients, there were only 214 medical records met the inclusion criteria. The frequency of tympanic membrane perforation patients increased in 2011 it was 28%, in 2013 it was 37.6%. The number of male patients (53.3%) was higher than female patients’. Most patients were in productive age (83.2%). Most patients came with the chief complaint of discharge from ear (36.4%) and the most common etiology was infection (84.1%). Otological examination showed that most patients had unilateral perforation (73.8%). Based on the size of perforation, central perforation (52.3%) was the most common otological finding. From audiogram, most patients had conductive hearing loss (41.5%) with moderate degree of hearing loss (30.4%). Most patients were treated by medications (64.5%).

Conclusions: The frequency of tympanic membrane steadily increases with clinical characteristic mostly in male patients in productive age admitted with chieft complain of discharge of ear. The most common etiology is infection. Majority of patients have unilateral central perforation that cause conductive hearing lost. [AMJ.2016;3(1):43–8]

DOI: 10.15850/amj.v3n1.702

Keywords

Clinical characteristic, hearing lost, tympanic membrane perforation

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References

Indonesia. Rencana strategis nasional penanggulangan gangguanpendengaran dan ketulian untuk mencapai soundhearing 2030. Jakarta: Biro Hukum dan Organisasi Kementerian Kesehatan Republik Indonesia; 2006. p. 4.

Pannu KK, Chadha S, Kumar D, Preeti. Evaluation of hearing loss in tympanic membrane perforation. Indian J of Otolaryngol HeadNeck Surg. 2011;63(3):208–13.

Kaftan H, Noack M, Friedrich N, Völzke H, Hosemann W. Prevalence of chronic tympanic membrane perforation in the adult population. HNO. 2008;56(2):145–50.

Hamilton J. Chronic otitismedia in childhood. In: Gleeson M, editor. Scott–Brown’s otorhinolaryngology, head and necksurgery. 7th ed. London: Hodder Arnold; 2008. p. 912–26.

Bluestone CD, Klein JO. Otitis media in infants and children. 4th ed. Shelton: W B Saunders; 2007.

Sarojamma, Raj S, Satish HS. A clinical study of traumatic perforation tympanic membrane. IOSR J Dent Med Sci. 2014;13(4):24–8.

Speets A, Wolleswinkel J, Cardoso C. Societal costs and burden of otitis media in Portugal. J Multidiscip Health. 2011;4:53–62.

Olowookere S, Ibekwe T, Adeosun A. Patterns of tympanic membrane perforation in Ibadan: a retrospective study. Ann Ib Postgrad Med. 2008;6(2):31–3.

Kolo E, Salisu A, Yaro A, Nwaorgu O. Sensorineural hearing loss in patients with chronic suppurative otitis media. Indian J Otolaryngol Head Neck Surg. 2012;64(1):59–62.

Mehta RP, Rosowski JJ, Voss SE, O’Neil E, Merchant SN. Determinants of hearing loss in perforations of the tympanic membrane. Otol Neurotol. 2006;27(2):136–43.

Shaikh N, Hoberman A, Kearney DH, Yellon R. Tympanocentesis in children with acute otitis media. N Engl J Med. 2011;364(2):1–3.

Al-Juboori AN. Evaluation of spontaneous healing of traumatic tympanic membrane perforation. Gen Med. 2014;2(1):1–3.

Ibekwe TS, Nwaorgu OG, Ijaduola TG. Correlating the site of tympanic membrane perforation with hearing loss. BMC Ear Nose Throat Disord. 2009;9(1):1–4.

Engle JR, Tinling S, Recanzone GH. Age–related hearing loss in rhesus monkeys is correlated with cochlear histopathologies. PLoS one. 2013;8(2):9–12.

Maharjan M, Kafle P, Bista M, Shrestha S, Toran K. Observation of hearing loss in patients with chronic suppurative otitis media tubotympanic type. Kathmandu Univ Med J. 2009;7(4):397–401.